Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407980097 Individual Practitioner Female Practitioner

Debra Ann Hickey , CPNP

Nurse Practitioner - Pediatrics • Commack, NY

Professional Overview & Biography Verified Profile Summary

Debra Hickey, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Commack, NY. Practice services are available at 500 COMMACK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Commack Rd

Commack, NY 117255020

Telephone 6316380150
Fax 6316380157

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Commack, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Commack, NY (1823 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NY F380777-1

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00401381 (NY)
Commercial Insurance / Payer ID Rbk Tax Id#
112245457 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jason Klein , MD

Pediatrics - Pediatric Endocrinology

NPI 1033358676

Doctor of Medicine (M.D.)

NPI 1710419544

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2017

Registered at 500 COMMACK RD, COMMACK, NY 117255020 (Tel: 6316380150)

📍
Updated Business Mailing Address May 01, 2017

Registered at PO BOX 1559, STONY BROOK, NY 117900989 (Tel: 6316380150)

👤
Provider Name / Credentials Updated May 01, 2017

Recorded as DEBRA HICKEY, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Nurse Practitioner (License #F380777-1 in NY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 646 COMMACK RD, COMMACK, NY 117255404 (Tel: 6314994114)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5 TALL TREE LN, SMITHTOWN, NY 117874512 (Tel: 6312653706)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEBRA HICKEY, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #F380777-1 in NY)

🟢
Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407980097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: May 01, 2017
Sole Proprietor: No

Mailing Address

Po Box 1559

Stony Brook, NY 117900989

Phone: 6316380150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.